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HomeMy WebLinkAbout155264 TREMCO ROOFING WEATHERPROOFING TECHNOLOGIES - INSURANCE CERTIFICATE (3)THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTRINSR� TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE(MM/DDfYYYY) POLICY EXPIRATION DATE MM/DDNYYYI I LIMITS GENERAL LIABILITY EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED PREMISES(Eaoccurrence $ 1 ,000,000 A X COMMERCIAL GENERAL LIABILITY 1-GLRPM-01/2010 04/01/2010 04/01/2011 MED EXP (Any one person) Is 1,000 CLAIMS MADE a OCCUR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE Is 1,000,000 GENERAL AGGREGATE LIMIT APPLIES PER; - Fx-1 POLICY n JECPROT LOCI PRODUCTS - COMP/OP AG $ 1 ,000,o 0 B AUTOMOBILE X LIABILITY ANY AUTO BAP 9258789-03 04/01/2010 04/01/2011 COMBINED SINGLE LIMIT (Ea accident) $ 2,000,000 BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS (Per person) BODILY INJURY $ X HIRED AUTOS X NON-OWNEDAUTOS - (Per accident) PROPERTY DAMAGE (Per accident) $ ' GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ D WORKERS COMPENSATION AND WC 9258788-03 (AOS) 04/01/2010 04/01/2011 X WCSTATU-OTH- IMIT; ER B EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / NE.L. WC 9258790-03 (ID, KY, WI) 04/01/2010 04/01/2011 EACH ACCIDENT $ 1,000,000 DISEASE - EA EMPLOYEq $ 1,000,000 OFFICER/MEMBER EXCLUDED? F7N.L. (Mandatory in NH) If yes, describe under SPECIAL PROVISIONS below .L. DISEASE -POLICY LIMIT $ 1.,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS City of Fort Collins is named as an additional insured during the course of authorized roof inspection and repair activities to the extent of losses caused solely and directly by Tremco and/or Weatherproofing Technologies, Inc. employees in an amount not to exceed the cost of the contracted services. CERTIFICATE HOLDER CLE-002464591-02 CANCELLATION CITY OF FORT COLLINS 215 NORTH MASON STREET, 2ND FLOOR FORT COLLINS, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE " EXPIRATION DATE THEREOF, THE ISSUING INSURER -WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. n J. Robinson ACORD 25 (2009/01) ©1998-2009 ACORD CORPORATION. All Rights Reserved The ACORD name and logo are registered marks of ACORD IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ADDITIONAL INFORMATION CLE-002464591-02 DATE (MM/DDIYY) 03/30/2010 PRODUCER MARSH USA INC. 216-937-1700 200 PUBLIC SQUARE SUITE 1000 CLEVELAND, OH 44114-1824 34492-00000-CAS10-10-11 WEAT INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER F: WEATHERPROOFING TECHNOLOGIES, INC. TREMCO INCORPORATED AND ITS SUBSIDIARIES INSURERG: INSURER H 3735 GREEN RD. BEACHWOOD, OH 44122 INSURER I: TEXT THE GENERAL LIABILITY AND AUTOMOBILE PHYSICAL DAMAGE PLACEMENT IS A DIRECT PLACEMENT. MARSH MANAGEMENT SERVICES (VERMONT) MANAGES THE CAPTIVE INSURER INDICATED HERE. MARSH USA INC. HAS ONLY ACTED IN THE ROLE OF A CONSULTANT TO THE CLIENT WITH RESPECT TO THIS PLACEMENT, WHICH IS INDICATED HERE FOR YOUR CONVENIENCE. CERTIFICATE HOLDER CITY OF FORT COLLINS 215 NORTH MASON STREET, 2ND FLOOR FORT COLLINS, CO 80522 Kevin J. Robinson